| NPI | 1881661098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY COPELAND BAILEY Office Manager 318-688-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-22 |